NPI | 1356790877 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 39621) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC LL39621) |
Enumeration Date | 2016-06-06 |
Last Update Date | 2019-07-09 |